MICHELLE L BAKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006794

License Status

NOT RENEWED

Business

First Name

MICHELLE L

Last Name

BAKER

Business Name

MICHELLE L BAKER

Original Issue Date

09/03/1988

Effective Date

09/03/1988

Expiration Date

09/30/1990

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/12/2005